Rehabilitation program after endoprosthetics: recovery after hip replacement surgery

Potential endoprosthetics risks

The largest joint, playing the main role during the walk and carrying the weight of the human body upper half, is the hip joint. It is responsible for the circular movement of the thigh, flexion, extension and depreciation between the articular surfaces of the bones. Constant loads on the displaced joint, bruises, injuries and microtraumas lead to wear of the cartilage tissue. Systemic and autoimmune disorders, bone erosion and insufficient collagen production exacerbate the course of the pathological process. All this leads to

  • Severe degenerative diseases (single and bilateral coxarthrosis);       
  • Fracture-dislocation of the hip joint;       
  • A lesion of the neck integrity and the femoral head.       

The main reason for replacing a damaged joint with a replacement device is severe pain and loss of mobility. This significantly reduces the quality of human life, makes him helpless and causes negative feelings. That is why endoprosthetics has become the method of choice in the treatment of large joints pathologies.

However, in this situation, the operation initiates additional traumatization, and its outcomes are not always completely satisfied for the patient. This is due to a significant impairment of the support ability of the sore leg, a significant deterioration in the work of the extensor femur and the formation of compensatory-adaptive rearrangements. Thus, at the time of endoprosthetics there is already a complex of musculoskeletal pathologies requiring reconstructive therapy.

In addition, the lack of effective physical rehabilitation after surgery on the hip joint can lead to instability of the implant and repeated surgical intervention. This is especially relevant for the elderly, patients suffering from obesity, diabetes mellitus, systemic diseases and other related pathologies. As a result, a person limits the load on the joint, moves less, spares a sore leg, as a result, insufficient motor activity becomes the cause

  • Lowering the tone of the musculo-ligamentous apparatus;       
  • Increased risk of fractures;       
  • Progression of osteoporosis;       
  • Weakening tissue regeneration ability;       
  • Deep vein thrombosis.       

At the same time, properly selected and organized physical activities mobilize and increase the functional body reserves. Thanks to them, metabolism is enhanced, the survival rate of the prosthesis is improved, and the risk of negative postoperative consequences is minimized.

Primary consultation
from €150
Personal lesson
from 40 min
Duration of one lesson
Following the results of the consultation for each client, we compile a personalized program and select the complex from the author's training modules.

Tareas de la rehabilitación física.

Rehabilitation after hip replacement surgery is aimed at restoring support, motor and shock-absorbing functions. In contrast to the early rehabilitation course, designed to stabilize the cardiovascular and respiratory systems, it is aimed at improving long-term results.

The objectives of late recovery period:

  • Gradual development of a motion algorithm;       
  • Elimination of pain;       
  • Restoration and stabilization of muscle strength (general and local);       
  • The formation of functional connections between muscles, ligaments and the nervous system;       
  • Increased prosthesis service life;       
  • Development of endurance and confidence during descent, ascent and walking on a horizontal surface;       
  • Improving physical, mental and social health;       
  • Expansion of the motor repertoire and a return to the usual way of life.       

 Only after the final stage of treatment (rehabilitation), surgery on the hip joint can achieve the goal and maintain the achieved result.

Proper movement is a guarantee of recovery

Recovery after volumetric surgical interventions is not only a long, but also a responsible process. To make it properly full of value, the help of professionals is required. One of the work priorities at the Dr. Blum’s Physiotherapy and Biomechanics Center is rehabilitation after a hip joint endoprosthetics. Restorative correction is carried out according to the patented methodology of its founder, Honored Inventor of Russia, Professor, MD, E. E. Blum. Built on a deep knowledge of the biomechanics of the human body functional movements, the method is focused on improving the body at all levels. For more than 30 years, the scientific “recipe” in practice has successfully proved its expediency and effectiveness.

A personalized program is compiled for each client. It takes into account age, general health, physical level, the endoprosthesis model. The developed algorithm provides for cyclicality, systematicity, sequence of exposure and adequacy of loads.

To build an individual complex of recovery measures, biomechanical diagnostics is carried out. The study allows you to identify "weak links", to formulate tasks for alternate solutions and to predict long-term correction results.

To solve rehabilitation problems of varying complexity, 800 training devices are used to set the exact dosed load on the target segments of the musculoskeletal system.

Dr. Blum’s method features

One of the principles of rehabilitation measures at the Dr. Blum Center – engage the work of the deep muscle layers. Unlike superficial, which are controlled at a conscious level, the deep muscles that are responsible for stability can only be turned on in the eccentric mode of working with the trainer, using special designs and exercises. As a result, the strength and endurance of the muscles stabilizing the joint increases, movement control improves, impaired muscle tone, muscular-articular balance are restored, distortions and pathological motor stereotypes are eliminated, and body symmetry is restored.

Rehabilitation after hip replacement surgery is a multi-stage process with the continuity of recovery measures, to the full normalization of the main limb functions. Dr. Blum’s original technique is applicable not only for postoperative patients, but also for patients with osteoarthrosis of the I and II degree, in many cases, it allows to restore the joint and to avoid endoprosthetics in the future.

The key to successful recovery is the early start of physical rehabilitation, its continuity, consistency and personalized approach. The set of optimal measures includes corrective techniques. They are aimed at accelerating the integration of the endoprosthesis into bone tissue, improving the functional state of muscles and soft periarticular tissues.

An important point. Active physical rehabilitation after replacing the hip joint prevents the development of clinical symptoms, leading to thoughts of an unsuccessful operation. In order not to lose the already achieved, it is necessary to strengthen constantly the muscles of the pelvic girdle and lower extremities, to train local and regional endurance.

Dr. Blum's method benefits

Recovery after the endoprosthetics surgery according to the Dr. Blum's method has a number of tangible advantages:

  • An individual integrated approach;       
  • Phased recovery plan;       
  • Expansion of rehabilitation potential;       
  • Inferior (eccentric) training mode;       
  • A clear clinical effect with minimal energy costs;       
  • Lack of medicine load and invasive procedures.       

Due to the addressed effect on target muscle groups, the weak links of the biomechanical chain are strengthened, on which the functional activity of the damaged segment depends. An integrated multidisciplinary approach to tasks affecting several areas of medicine significantly reduces recovery time and brings significant results.

If you still have questions or doubts, sign up for a consultation at the Dr. Blum Physiotherapy and Biomechanics Center. Rehabilitation after hip replacement is a real chance to feel confident on your feet, without walkers and additional supports.

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